Endocrino para el ENARM || Dr Garcia
Dr Garcia・2 minutes read
Endocrinology covers topics such as diabetes, obesity, metabolic syndrome, and thyroid disorders, with treatment options ranging from non-pharmacological methods to pharmacological interventions and surgical procedures. Diagnosis and management of endocrine disorders involve a variety of tests, criteria, and treatment protocols tailored to each condition, highlighting the importance of regular monitoring and individualized care.
Insights
- Metabolic syndrome diagnosis requires three positive criteria: abdominal obesity, high blood pressure, elevated triglycerides, low HDL, and altered fasting glucose.
- Treatment for hypothyroidism involves levothyroxine, monitoring ts h levels until normalization, and considering treatment in subclinical cases with symptoms or specific risk factors.
- Diagnosis of hyperprolactinemia involves prolactin level measurement, MRI of the pituitary gland, and treatment based on adenoma size, with surgery for macroadenomas and dopamine agonists for microadenomas.
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Recent questions
What are the treatment goals for diabetes?
Maintaining glycosylated hemoglobin below 7%, specific lipid levels, normal weight, and avoiding smoking and nephrotoxic substances.
What is the initial treatment for ketoacidosis?
Intravenous saline solutions before insulin administration.
What is the primary treatment for hypothyroidism?
Levothyroxine, taken in fasting 30 minutes to an hour before eating.
What are the common symptoms of hyperprolactinemia?
Headache, rhinorrhea, visual alterations, forced amenorrhea or galactorrhea.
How is hyperaldosteronism diagnosed?
Renin aldosterone ratio (PAC: PRA) test and adrenal tomography.
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